Hello, thank you for your feedback. I am 5ft 5in. I've considered a revision to bypass. I'm very concerned with the side effects afterwards. I have the Gerd under control for the most part. I stay a way from things that trigger horrible symptoms. I aspirated 3 years ago due to Gerd & almost died from pneumonia. I now have 2 spots on my right lung due to Gerd. They did the upper GI test 4 years & when I eat the food creeps up slowly than goes back down. I eat slowly anyway thank goodness. I don't have dumping syndrome. Do you have any tips on getting my metabolism to work? I can't exercise due to my chronic pain, mobility and balance issues. My left hip & knee is bone on bone. I use a cane to ambulate and can't stand more than 5 min without severe pain. I've been suffering since 45 & things have gotten worse the last 2 years. Now I'm 49 with no quality of life.